MRS. VICKI LYNN GRIMES


Address: 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926
Phone: 2536868392

MRS. VICKI LYNN GRIMES (NPI# 1548710551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548710551
Entity Type Individual
Full Name MRS. VICKI LYNN GRIMES
Credential ARNP
Practice Address 1202 Martin Luther King Jr Way
Tacoma
WA 98405-3926
Mailing Address 7305 S M St
Tacoma
WA 98408-3037
Practice Telephone 2536868392
Mailing Telephone 2536868392
Enumeration Date 2016-10-13
Last Update Date 2016-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
AP60669354 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1202 MARTIN LUTHER KING JR WAY
City TACOMA
State WA
Zip Code 98405-3926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619955424 James G Lenhart Emergency Medicine 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2006-01-03
1164039707 Josephine Eshun Nurse Practitioner 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-09-28
1164035010 Andrea Jordan Nurse Practitioner 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-08-28
1417586777 Tor Anderson Student in an Organized Health Care Education/Training Program 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-04-07
1023647302 Ariahnna Lynne Nietzke Student in an Organized Health Care Education/Training Program 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-04-07
1982233292 Joshua Monson Student in an Organized Health Care Education/Training Program 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-04-07
1871122317 Marina Leith Student in an Organized Health Care Education/Training Program 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-04-06
1174152169 Charlee Rhea Abboud Student in an Organized Health Care Education/Training Program 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-04-02
1609401272 Mitsy Chester Dental Hygienist 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2020-03-04
1700425543 Renjitha James Pharmacist 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2019-12-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922167261 Shauna N Applin Nurse Practitioner 1102 S I St, Tacoma, WA 98405-4559 2006-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154419703 Maureen M Mckenzie Nurse Practitioner 4111 194th St Sw, Lynnwood, WA 98036-4604 2006-10-10
1336240902 Marchell Rene Spielmann Nurse Practitioner 1546 Reservation Rd Se, Olympia, WA 98513-9415 2006-09-26
1538117650 Jolie Ewart Nurse Practitioner 220 E Rowan Ave, Ste 300, Spokane, WA 99207-1202 2006-05-04
1205477361 Stephanie Sanderson Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2019-09-30
1386293561 Emily Jane Lippold Nurse Practitioner 206 3rd Ave S, Seattle, WA 98104-2697 2019-09-10
1356816383 Hyojin Meadows Nurse Practitioner 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 2018-10-05
1336629518 Ebony Montezz Graham Nurse Practitioner 15812 E Indiana Ave Ste 101, Spokane Valley, WA 99216-1875 2018-08-17
1427535566 Sonia A Reid Nurse Practitioner 15812 E Indiana Ave Ste 101, Spokane Valley, WA 99216 2018-07-22
1215358841 Selina Marie Ross Nurse Practitioner 9631 N Nevada St, Ste 205, Spokane, WA 99218-1193 2013-12-28
1285063644 Katie Marie Kasunick Nurse Practitioner 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 2013-11-06
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Competitor

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City TACOMA
Zip Code 98405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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